Nurse Case Manager I: Flexible, Impactful Care Coordination

Elevance Health, Inc.; New York (NY); Sur place; USD 67 000 - 121 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Résumé du poste

Elevance Health, Inc. is seeking a Nurse Case Manager I in the New York area to assess, develop, implement, and monitor care plans for members with complex health needs.

You will coordinate with internal teams and external providers to ensure appropriate services are accessed and care plans are executed effectively. This full-time role requires a BA/BS in a health-related field, at least 3 years of clinical experience, and an active RN license.

Qualifications

• BA/BS in health-related field is required
• Minimum of 3 years of clinical experience required
• Current, unrestricted RN license in applicable state(s) required
• Multi-state licensure required if providing services in multiple states; CM certification and compact license preferred

Responsabilités

• Ensure member access to services appropriate to their health needs
• Conduct assessments to identify individual needs and develop care management plans
• Implement care plans by facilitating authorizations/referrals as appropriate
• Coordinate internal and external resources to meet identified needs
• Monitor and evaluate the effectiveness of care management plans and modify as necessary
• Interface with Medical Directors and Physician Advisors on care management treatment plans
• Assist in problem solving with providers, claims, or service issues

Connaissances

Clinical assessment

Care coordination

Interdisciplinary collaboration

Communication skills

Formation

BA/BS in health-related field

Description du poste

Elevance Health, Inc. is seeking a Nurse Case Manager I in the New York area to assess, develop, implement, and monitor care plans for members with complex health needs.

You will coordinate with internal teams and external providers to ensure appropriate services are accessed and care plans are executed effectively. This full-time role requires a BA/BS in a health-related field, at least 3 years of clinical experience, and an active RN license.